TY - JOUR
T1 - Fixation methods in sagittal split ramus osteotomy
T2 - a systematic review on in vitro biomechanical assessments
AU - Kuik, K.
AU - De Ruiter, M.H.T.
AU - De Lange, J.
AU - Hoekema, A.
PY - 2019/1/1
Y1 - 2019/1/1
N2 - The aim of this systematic review was to assess the stability of rigid internal fixation (RIF) techniques in sagittal split ramus osteotomy (SSRO) based on in vitro biomechanical assessments, with particular interest in large mandibular advancements. In general, RIF methods can be divided into three groups: bicortical screws, miniplates, and a combination of the two. An electronic search of the PubMed, CINAHL, and Embase databases was performed, and studies published between January 2003 and March 2018 were screened for inclusion. Comparative studies with an in vitro experimental design, using biomechanical assessments to measure the stability of RIF methods in SSRO, were included. Of 104 unique studies identified in the initial search, 24 were included. Twenty-two of these 24 studies analyzed an advancement of the mandible of 7 mm or less. The use of a single four-hole or six-hole miniplate was less stable than the use of bicortical screws, hybrid techniques, double miniplates, or grid plates. Two studies analyzed advancements of 10 mm, for which two miniplates placed in parallel and a grid plate showed most stability. Although there was agreement between studies with regard to results, more biomechanical studies are required to quantify the stability of fixation methods in larger mandibular advancements.
AB - The aim of this systematic review was to assess the stability of rigid internal fixation (RIF) techniques in sagittal split ramus osteotomy (SSRO) based on in vitro biomechanical assessments, with particular interest in large mandibular advancements. In general, RIF methods can be divided into three groups: bicortical screws, miniplates, and a combination of the two. An electronic search of the PubMed, CINAHL, and Embase databases was performed, and studies published between January 2003 and March 2018 were screened for inclusion. Comparative studies with an in vitro experimental design, using biomechanical assessments to measure the stability of RIF methods in SSRO, were included. Of 104 unique studies identified in the initial search, 24 were included. Twenty-two of these 24 studies analyzed an advancement of the mandible of 7 mm or less. The use of a single four-hole or six-hole miniplate was less stable than the use of bicortical screws, hybrid techniques, double miniplates, or grid plates. Two studies analyzed advancements of 10 mm, for which two miniplates placed in parallel and a grid plate showed most stability. Although there was agreement between studies with regard to results, more biomechanical studies are required to quantify the stability of fixation methods in larger mandibular advancements.
KW - jaw fixation techniques
KW - mandibular advancement
KW - sagittal split ramus osteotomy
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85049855439&origin=inward
UR - https://www.ncbi.nlm.nih.gov/pubmed/30017569
UR - http://www.scopus.com/inward/record.url?scp=85049855439&partnerID=8YFLogxK
U2 - https://doi.org/10.1016/j.ijom.2018.06.013
DO - https://doi.org/10.1016/j.ijom.2018.06.013
M3 - Review article
C2 - 30017569
SN - 0901-5027
VL - 48
SP - 56
EP - 70
JO - International Journal of Oral and Maxillofacial Surgery
JF - International Journal of Oral and Maxillofacial Surgery
IS - 1
ER -